Ridout, Katherine Louise; (2003) Factors associated with change on the cognitive-behavioural chronic pain management programme. Doctoral thesis (Ph.D), UCL (University College London).

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Abstract

A significant amount of research has been undertaken world-wide that demonstrates the efficacy of Pain Management Programmes in achieving their stated aims. There seems however to be a dearth of information about the processes by which beneficial change in pain management terms is achieved. This project aims to explore people's experience of change as the result of attending a Pain Management Programme. A study will be presented which investigates outcomes from five consecutive groups of an established Pain Management Programme to determine mutative moments in the programme. Thirty patients were interviewed and data was analysed using a task analysis approach. Patients also completed standardised questionnaires as objective measures of change and these were compared with their personal reports. It was hypothesised that a relationship might exist between objective improvement as a result of participating in a Pain Management Programme and patients' capacity to reflect on and articulate "key moments" of change during the Programme. Evidence from the study supports this hypothesis. It is suggested that findings from this study might enhance existing understanding about when and how change occurs within individuals during participation in a Pain Management Programme. These findings might be used to facilitate/enhance positive change for future groups of patients attending Pain Management Programmes.

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